Organization
5 STAR GOLD CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA NICHOLSON (CEO)
(719) 419-7977
Entity
Organization
Contact information
Practice address
211 E COSTILLA ST, COLORADO SPRINGS, CO 80903-2103
(719) 419-7977
(719) 419-7988
Mailing address
211 E COSTILLA ST, COLORADO SPRINGS, CO 80903-2103
(719) 419-7977
(719) 419-7988
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
20151575282
CO
Other
Enumeration date
04/08/2016
Last updated
09/02/2021
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